Odontogenic Keratocyst: Developing a Protocol for Surgical Intervention

Area of Science:

• Oral and Maxillofacial Surgery
• Cystic Lesion Management
• Conservative Dentistry

Background:

• Odontogenic keratocyst (OKC) is a developmental odontogenic tumor known for its high recurrence rate.
• Conservative management of OKC is often preferred, particularly in younger patients or those with systemic conditions.
• The "enucleation and packing open" technique offers a less invasive surgical option.

Purpose of the Study:

• To evaluate the clinical outcomes of a conservative treatment protocol for odontogenic keratocyst (OKC).
• To assess the recurrence rate of OKC following "enucleation and packing open" surgery.
• To determine the suitability of this conservative approach for specific patient demographics.

Main Methods:

• Ten patients diagnosed with OKC were treated using peripheral ostectomy, enucleation, and open packing.
• Patients were monitored through regular clinical evaluations and panoramic radiography.
• Follow-up intervals were predetermined to ensure consistent assessment.

Main Results:

• No evidence of OKC recurrence was observed in any of the ten treated patients during the follow-up period.
• The "enucleation and packing open" protocol demonstrated a low recurrence rate.
• The surgical procedure was characterized by its simplicity and low patient morbidity.

Conclusions:

• Conservative treatment of OKC via "enucleation and packing open" is a viable and effective surgical option.
• This treatment modality is particularly advantageous for young patients and those with systemic diseases.
• The simplicity and low morbidity associated with this technique make it a favorable choice for managing odontogenic keratocysts.